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			<td><span style="font-weight:600;"><span style="color:#000000;"><span style="font-family: ITCAvantGardePro; font-size: 12px;"><span class="titre_p">M&#39;engage formellement par les pr&eacute;sentes &agrave; louer le bien immeuble d&eacute;sign&eacute; ci-apr&egrave;s :</span></span></span></span></td>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><span class="titre_p">Adresse pr&eacute;cise :</span></span></td>
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			<td>{% textarea_tag name=&quot;04b993e8&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Adresse des lieux&quot; data_map_field=&quot;full_address&quot; data_help=&quot;Indiquer l&#39;adresse pr&eacute;cise des lieux (adresse, b&acirc;timent, &eacute;tage, porte etc)&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Type de bien : {% radio_tag name=&quot;60bfd5d4&quot; data_label=&quot;Type de bien&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Indiquer le type de bien&quot; data_choices=&quot;Studio&nbsp; &nbsp; &nbsp;|Studio; Appartement&nbsp; &nbsp; &nbsp;|Appartement; Maison&nbsp; &nbsp; |Maison;&quot; %}</span></td>
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			<td style="width: 17%; vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Surface indicative*&nbsp; :</span></td>
			<td style="width: 10%; vertical-align: bottom;">{% textinput_tag name=&quot;0e6876b0&quot; data_label=&quot;Surface indicative&quot; data_map_field=&quot;area&quot; data_help=&quot;Murs, balcons et terrasses inclus, cette indication de surface n&rsquo;&eacute;tant qu&rsquo;indicative et non de rigueur.&quot; maxlength=&quot;10&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="width: 19%; vertical-align: bottom;">&nbsp;</td>
			<td style="width: 10%; vertical-align: bottom;">&nbsp;</td>
			<td style="vertical-align: bottom; width: 10%;">&nbsp;</td>
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			<td colspan="7"><em><span style="font-size:10px;"><span style="font-family: ITCAvantGardePro; font-weight: 200;">*Murs, balcons et terrasses inclus, cette indication de surface n&rsquo;&eacute;tant qu&rsquo;indicative et non de rigueur.</span></span></em></td>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><span class="titre_p">Autres caract&eacute;ristiques :</span></span></td>
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			<td>{% textarea_tag name=&quot;f4d1478a&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Description du bien&quot; data_map_field=&quot;realty_name&quot; data_help=&quot;Indiquer une description du bien&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><span class="titre_p">Appartenant &agrave; :&nbsp;</span></span>{% textinput_tag name=&quot;a0b434c4&quot; data_label=&quot;Bien appartenant &agrave;&quot; data_map_field=&quot;nomap&quot; maxlength=&quot;70&quot; style=&quot;max-width:300px;min-width:300px;width:300px;&quot; fixedwidth=&quot;300&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<p><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><span style="font-weight:600;">Type de bail :&nbsp;</span>&nbsp;{% checkbox_tag name=&quot;509dd5ea&quot; data_label=&quot;habitation&quot; data_map_field=&quot;nomap&quot; data_help=&quot;habitation&quot; %}&nbsp; habitation&nbsp; ;&nbsp;&nbsp;{% checkbox_tag name=&quot;e2d71510&quot; data_label=&quot;mixte&quot; data_map_field=&quot;nomap&quot; data_help=&quot;mixte&quot; %}&nbsp; mixte&nbsp; ;&nbsp;&nbsp;{% checkbox_tag name=&quot;12179a6d&quot; data_label=&quot;bureau&quot; data_map_field=&quot;nomap&quot; data_help=&quot;bureau&quot; %}&nbsp;&nbsp;Bureau </span><span style="font-size:9px;"><span style="font-family: ITCAvantGardePro; font-weight: 200;">(articles 1616-1 &agrave; 1616-7 du Code Civil)</span></span><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp; ;&nbsp;&nbsp;{% checkbox_tag name=&quot;1ef562f9&quot; data_label=&quot;commercial&quot; data_map_field=&quot;nomap&quot; data_help=&quot;commercial&quot; %}&nbsp;&nbsp;Commercial</span><span style="font-size:9px;"><span style="font-family: ITCAvantGardePro; font-weight: 200;"> (loi 490 du 24/11/1948)</span></span><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp; ;</span></p>

<p><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;{% checkbox_tag name=&quot;08874988&quot; data_label=&quot;sous loi&quot; data_map_field=&quot;nomap&quot; data_help=&quot;sous loi&quot; %}&nbsp;sous loi (pr&eacute;cisier) :&nbsp;{% textinput_tag name=&quot;7a3d8fa3&quot; data_label=&quot;type de loi&quot; data_map_field=&quot;nomap&quot; data_help=&quot;type de loi&quot; maxlength=&quot;35&quot; style=&quot;max-width:300px;min-width:100px;width:100px;&quot; fixedwidth=&quot;300&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}&nbsp; ;&nbsp;&nbsp;{% checkbox_tag name=&quot;3f0afa8a&quot; data_label=&quot;meubl&eacute;&quot; data_map_field=&quot;nomap&quot; data_help=&quot;meubl&eacute;&quot; %}&nbsp; meubl&eacute;&nbsp; ;&nbsp;{% checkbox_tag name=&quot;952bf9b4&quot; data_label=&quot;non meubl&eacute;&quot; data_map_field=&quot;nomap&quot; data_help=&quot;non meubl&eacute;&quot; %}&nbsp; non meubl&eacute;</span></p>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Loyer annuel minimum (hors taxes et hors charges) :</span></td>
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			<td>{% textarea_tag name=&quot;98523b5e&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Prix [ou loyer annuel] maximum&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Prix [ou loyer annuel] maximum&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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<p><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">TVA :&nbsp;{% radio_tag name=&quot;afb4ebf4&quot; data_label=&quot;TVA&quot; data_map_field=&quot;nomap&quot; data_choices=&quot;oui|oui; non|non;&quot; %}</span></p>

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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Indexation :</span></td>
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			<td>{% textarea_tag name=&quot;7fcf8d66&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot; Indexation&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Acompte provisionnel sur charges annuel :</span></td>
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			<td>{% textarea_tag name=&quot;ddfe4389&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Acompte provisionnel sur charges annuel :&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">D&eacute;p&ocirc;t de garantie :</span></td>
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			<td>{% textarea_tag name=&quot;c04dde3e&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;D&eacute;p&ocirc;t de garantie :&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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<p><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Dur&eacute;e initiale :&nbsp;</span>&nbsp;{% textinput_tag name=&quot;175171a1&quot; data_label=&quot;dur&eacute;e initiale du bail de location&quot; data_map_field=&quot;nomap&quot; data_help=&quot;dur&eacute;e du bail de location&quot; maxlength=&quot;100&quot; style=&quot;max-width:200px;min-width:200px;width:200px;&quot; fixedwidth=&quot;200&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}&nbsp;<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"> ;&nbsp; &agrave; compter du&nbsp;</span>{% dateinput_tag name=&quot;8b4800bd&quot; placeholder=&quot;jj/mm/aaaa&quot; data_label=&quot;date de prise d&#39;effet du bail&quot; style=&quot;max-width:80px;min-width:80px;width:80px;&quot; fixedwidth=&quot;80&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</p>

<p><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Pr&eacute;avis :</span>&nbsp;{% numberinput_tag name=&quot;adfe0efa&quot; data_label=&quot;Dur&eacute;e du pr&eacute;avis en nombre de mois&quot; data_map_field=&quot;nomap&quot; maxlength=&quot;3&quot; style=&quot;max-width:30px;min-width:30px;width:30px;&quot; fixedwidth=&quot;30&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %} <span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">mois</span></p>

<p><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Animaux :&nbsp;&nbsp;{% radio_tag name=&quot;bc5a1ebb&quot; data_label=&quot;animaux&quot; data_map_field=&quot;nomap&quot; data_help=&quot;les animaux sont ils autoris&eacute;s&quot; data_choices=&quot;oui&nbsp; &nbsp; &nbsp; |oui; non|non;&quot; %}&nbsp; ;&nbsp; Sous-location :&nbsp;</span>&nbsp;<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% radio_tag name=&quot;6fe6b48e&quot; data_label=&quot;sous location&quot; data_map_field=&quot;nomap&quot; data_help=&quot;la sous location est-elle autoris&eacute;e&quot; data_choices=&quot;oui&nbsp; &nbsp; |oui; non|non;&quot; %}</span></p>

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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Conditions d&rsquo;occupation sp&eacute;cifiques :</span></td>
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			<td>{% textarea_tag name=&quot;ce4b7a11&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;conditions d&rsquo;occupation sp&eacute;cifiques&quot; data_map_field=&quot;nomap&quot; data_help=&quot;conditions d&rsquo;occupation sp&eacute;cifiques&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">P&eacute;nalit&eacute;s :</span></td>
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			<td>{% textarea_tag name=&quot;7e0ac730&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;P&eacute;nalit&eacute;s&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Travaux :</span></td>
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			<p>{% textarea_tag name=&quot;7a5b86dc&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Travaux :&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</p>
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			<td>A<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">utres conditions sp&eacute;cifiques &agrave; la location :</span></td>
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			<td>{% textarea_tag name=&quot;95221322&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;autres conditions sp&eacute;cifiques &agrave; la location&quot; data_map_field=&quot;nomap&quot; data_help=&quot;pr&eacute;ciser les autres conditions sp&eacute;cifiques &agrave; la location&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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